Research Article

Examining the relationship between maternal health literacy and fatalism tendency among pregnant women

Number: 1 August 13, 2026

Examining the relationship between maternal health literacy and fatalism tendency among pregnant women

Abstract

Objective: This study aimed to examine the relationship between maternal health literacy and fatalism tendency among pregnant women and to identify the predictors of fatalistic beliefs. 
Method: This descriptive cross-sectional study was conducted between April and September 2025 in the obstetrics outpatient clinic of a hospital in Türkiye. The sample consisted of 180 pregnant women aged 18-45 years with gestational ages between 14 and 37 weeks. Data were collected using a semi-structured questionnaire, the Maternal Health Literacy Inventory in Pregnancy, and the Fatalism Tendency Scale. Descriptive statistics, Pearson correlation analysis, and two-step hierarchical regression were used for data analysis.
Results: A significant moderate negative correlation was found between maternal health literacy and fatalism tendency (r=-0.381, p<0.001). Variables included in Model 1 explained 30% of the variance in fatalism, whereas adding maternal health literacy in Model 2 increased the explained variance to 36%. 
Conclusion: Maternal health literacy is an independent protective factor against fatalism among pregnant women. Enhancing literacy within antenatal care may strengthen women’s sense of control and promote healthier pregnancy-related behaviors. Development of comprehensive antenatal education models is recommended to reduce fatalistic attitudes.

Keywords

Health Literacy, Pregnancy, Fatalism, Antenatal Care

References

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APA
Mert Karadaş, M., Akdağ Topal, C., & Tekmen, E. K. (2026). Examining the relationship between maternal health literacy and fatalism tendency among pregnant women. Turkish Journal of Public Health, 1. https://doi.org/10.20518/tjph.1865235
AMA
1.Mert Karadaş M, Akdağ Topal C, Tekmen EK. Examining the relationship between maternal health literacy and fatalism tendency among pregnant women. TJPH. 2026;(1). doi:10.20518/tjph.1865235
Chicago
Mert Karadaş, Merve, Cansu Akdağ Topal, and Ezgi Kübra Tekmen. 2026. “Examining the Relationship Between Maternal Health Literacy and Fatalism Tendency Among Pregnant Women”. Turkish Journal of Public Health, no. 1. https://doi.org/10.20518/tjph.1865235.
EndNote
Mert Karadaş M, Akdağ Topal C, Tekmen EK (August 1, 2026) Examining the relationship between maternal health literacy and fatalism tendency among pregnant women. Turkish Journal of Public Health 1
IEEE
[1]M. Mert Karadaş, C. Akdağ Topal, and E. K. Tekmen, “Examining the relationship between maternal health literacy and fatalism tendency among pregnant women”, TJPH, no. 1, Aug. 2026, doi: 10.20518/tjph.1865235.
ISNAD
Mert Karadaş, Merve - Akdağ Topal, Cansu - Tekmen, Ezgi Kübra. “Examining the Relationship Between Maternal Health Literacy and Fatalism Tendency Among Pregnant Women”. Turkish Journal of Public Health. 1 (August 1, 2026). https://doi.org/10.20518/tjph.1865235.
JAMA
1.Mert Karadaş M, Akdağ Topal C, Tekmen EK. Examining the relationship between maternal health literacy and fatalism tendency among pregnant women. TJPH. 2026. doi:10.20518/tjph.1865235.
MLA
Mert Karadaş, Merve, et al. “Examining the Relationship Between Maternal Health Literacy and Fatalism Tendency Among Pregnant Women”. Turkish Journal of Public Health, no. 1, Aug. 2026, doi:10.20518/tjph.1865235.
Vancouver
1.Merve Mert Karadaş, Cansu Akdağ Topal, Ezgi Kübra Tekmen. Examining the relationship between maternal health literacy and fatalism tendency among pregnant women. TJPH. 2026 Aug. 1;(1). doi:10.20518/tjph.1865235